| NPI | 1770804783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW10492) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL SW10492) |
| 1041C0700X Social Worker, Clinical (Licence: FL ISW5395) | |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2015-10-07 |